Please use this identifier to cite or link to this item: https://doi.org/10.3109/14767058.2015.1092956
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dc.titleComparison of customized and cohort-based birthweight standards in identification of growth restricted infants in GUSTO cohort study
dc.contributor.authorAgarwall, Pratibha
dc.contributor.authorRajadurai, Victor Samuel
dc.contributor.authorYap, Fabian Kok Peng
dc.contributor.authorYeo, George
dc.contributor.authorChong, Yap Seng
dc.contributor.authorKwek, Kenneth Yung Chiang
dc.contributor.authorSaw, Seang Mei
dc.contributor.authorGluckman, Peter David
dc.contributor.authorLee, Yung Seng
dc.contributor.authorTan, Kok Hian
dc.date.accessioned2016-04-27T09:36:30Z
dc.date.available2016-04-27T09:36:30Z
dc.date.issued2015-10-06
dc.identifier.citationAgarwall, Pratibha, Rajadurai, Victor Samuel, Yap, Fabian Kok Peng, Yeo, George, Chong, Yap Seng, Kwek, Kenneth Yung Chiang, Saw, Seang Mei, Gluckman, Peter David, Lee, Yung Seng, Tan, Kok Hian (2015-10-06). Comparison of customized and cohort-based birthweight standards in identification of growth restricted infants in GUSTO cohort study. Journal of Maternal-Fetal and Neonatal Medicine : 1-4. ScholarBank@NUS Repository. https://doi.org/10.3109/14767058.2015.1092956
dc.identifier.issn14767058
dc.identifier.urihttp://scholarbank.nus.edu.sg/handle/10635/123160
dc.description.abstractBackground: The aim was to evaluate the ability of customized and cohort birthweight standards in discriminating intrauterine growth retardation (IUGR).Methods: Birthweights (BWs) of GUSTO singleton infants born at gestational age (GA) 35-41 weeks were converted using two standards: (a) GUSTO cohort-based BW centile adjusted for GA and baby gender; (b) customized BW percentile calculator adjusted for maternal height and weight, race, parity, GA and gender. Infants were classified into three groups: (1) < 10th BW centile by customization- customized-SGA, (2) < 10th BW centile by GUSTO- GUSTO-SGA; and (3) > 10th BW centile by both standards - BOTH-non-SGA.Results: Of the 1011 infant-mother dyads, 68 were customized-SGA and 104 were GUSTO-SGA, with concordance of 61% (n = 63) for SGA. While 5 (7%) of customized-SGA were not SGA by GUSTO-charts, 41 (39%) of GUSTO-SGA were not SGA by customized-charts. Customized-SGA had significantly the least growth in abdominal circumference (AC) and highest head circumference (HC): AC growth ratio between second and third trimester; and the lowest mean BW, ponderal index and placental weight than other groups.Conclusion: Customized-SGA standard was a better discriminator of pathologic fetal growth based on AC growth. It improved strength of association with pathology and in our population reduced false positives (41/104 = 39%) in the assessment of SGA. © 2015 Taylor & Francis.
dc.description.urihttp://libproxy1.nus.edu.sg/login?url=http://dx.doi.org/10.3109/14767058.2015.1092956
dc.publisherTaylor & Francis
dc.subjectAbdominal circumference
dc.subjectcustomized birthweight centiles
dc.subjectintra uterine growth restriction
dc.subjectsmall for gestational age
dc.typeArticle
dc.contributor.departmentDUKE-NUS GRADUATE MEDICAL SCHOOL S'PORE
dc.contributor.departmentEPIDEMIOLOGY & PUBLIC HEALTH
dc.contributor.departmentOBSTETRICS & GYNAECOLOGY
dc.contributor.departmentPAEDIATRICS
dc.description.doi10.3109/14767058.2015.1092956
dc.description.sourcetitleJournal of Maternal-Fetal and Neonatal Medicine
dc.description.page1-4
dc.identifier.isiut000374775200024
dc.description.seriesGUSTO (Growing up towards Healthy Outcomes)
dc.published.statePublished
dc.grant.idNMRC/TCR/004-NUS/2008
dc.grant.idNMRC/TCR/012-NUHS/2014
dc.grant.fundingagencyNational Medical Research Council (Singapore)
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